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1174175749
GUOMIN JIANG
LOUISVILLE, KY
NPI
1174175749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 2159DT)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
GUOMIN JIANG OD
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214-1270
Phone number: 502-368-3937
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Mailing Address
GUOMIN JIANG OD
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214-1270
Phone number: 502-368-3937
Copy
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